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1114060407
LACIE L BROWN
BRUNSWICK, GA
NPI
1114060407
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA 008964)
Enumeration Date
2007-02-15
Last Update Date
2009-04-17
Business Address
-- LACIE L BROWN PT
4204 CORAL PARK DR
BRUNSWICK, GA 31520-3016
Phone number: 912-280-9205
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Mailing Address
-- LACIE L BROWN PT
PO BOX 949
ROME, GA 30162-0949
Phone number: 706-802-1991
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